Individual provider Active NPI

Robert J Archuleta I

  • Addiction (Substance Use Disorder) Counselor
  • Pueblo, CO
National Provider Identifier
1972998268
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ADC.0002476 Issued in CO
Practice address
509 E 13TH St
Pueblo, CO 81001-2940
Phone
(719) 546-6666
NPI assigned
Apr 2, 2015
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ADC.0002476 CO Primary

Addresses

Primary practice location

509 E 13TH St
Pueblo, CO 81001-2940

Mailing address

509 E 13TH St
Pueblo, CO 81001-2940
Phone (719) 546-6666

Other identifiers 1

IdentifierTypeStateIssuer
9000235501MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260106001527 CO Practitioner - Mental Health Counselor 6406342385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1026 Maxwell St
Colorado Springs, CO 80906-5554

1365 S Sweetwater Ave
Pueblo, CO 81007-7556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ADC.0002476COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Turning Points Inc CurrentSince Sep 18, 2025 Accepting new patients
Crossroads Turning Points Inc CurrentSince Sep 18, 2025 Accepting new patients
Crossroads Turning Points Inc Past Accepting new patients
Crossroads Turning Points Inc Past Accepting new patients
Crossroads Turning Points Inc Past Accepting new patients

Locations

2265 Lava Ln
Alamosa, CO 81101
Phone (719) 589-5176

1026 Maxwell St
Colorado Springs, CO 80906
Phone (719) 203-6550

4 Montebello Rd
Pueblo, CO 81001
Phone (719) 546-6667

509 E 13th St
Pueblo, CO 81001
Phone (719) 546-6666

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1972998268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E 13TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810012940",
            "telephone_number": "719-546-6666",
            "fax_number": "719-404-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E 13TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810012940",
            "telephone_number": "719-546-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHULETA",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ADC.0002476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000235501",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.